Organization Active NPI

Life Healthcare Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1013959600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313005 Issued in FL
Legal business name
LIFE HEALTHCARE SERVICES, INC.
Practice address
2170 W 73Rd St
Hialeah, FL 33016-1820
Phone
(305) 826-5757
Fax
(305) 826-5767
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eduviges Hernandez
Title
President
Phone
(305) 826-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313005 FL Primary

Addresses

Primary practice location

2170 W 73Rd St
Hialeah, FL 33016-1820

Mailing address

2170 W 73Rd St
Hialeah, FL 33016-1820
Phone (305) 826-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078282 FL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & Equipment 3870613284 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Tax ID family
Life Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013959600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W 73RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161820",
            "telephone_number": "305-826-5757",
            "fax_number": "305-826-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W 73RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161820",
            "telephone_number": "305-826-5757",
            "fax_number": "305-826-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EDUVIGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-5757"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.